Fear of falling among people who have sustained a stroke / Arlene A. Schmid in American Journal of Occupational Therapy, Vol. 65/2 (mars-avril 2011)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 65/2 (mars-avril 2011) . - p. 125-132 Titre : Fear of falling among people who have sustained a stroke : a 6-month longitudinal pilot study Type de document : texte imprimé Auteurs : Arlene A. Schmid ; Marieke Van Puymbroeck ; Kasie KNIES ; et al. Année de publication : 2011 Article en page(s) : p. 125-132 Langues : Anglais (eng) Mots-clés : Vertige  Trouble anxieux  Etat dépressif  Accident cérébrovasculaire  Vie quotidienne Résumé : OBJECTIVE. Fear of falling (FoF) after stroke is not well understood. We assessed change in FoF over the first 6 mo after a stroke and compared 6-mo anxiety, depression, balance, and quality of life (QoL) scores between people with and without baseline FoF (at the time of hospital discharge). METHOD. Data for this longitudinal study were collected at baseline and 6 mo. Of the 28 people included at baseline, 18 remained in the study 6 mo later. RESULTS. FoF significantly decreased over time (p = .015). Participants with baseline FoF had higher 6-mo anxiety and depression scores (s = .002 and .005, respectively) and lower QoL scores (p < .001) than did those without baseline FoF. CONCLUSION. The results are suggestive of the need for occupational therapists and their colleagues to consider anxiety and depression variables in managing the needs of poststroke participants experiencing FoF. Permalink : ./index.php?lvl=notice_display&id=14106 [article] Fear of falling among people who have sustained a stroke : a 6-month longitudinal pilot study [texte imprimé] / Arlene A. Schmid ; Marieke Van Puymbroeck ; Kasie KNIES ; et al. . - 2011 . - p. 125-132. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 65/2 (mars-avril 2011) . - p. 125-132 Mots-clés : Vertige  Trouble anxieux  Etat dépressif  Accident cérébrovasculaire  Vie quotidienne Résumé : OBJECTIVE. Fear of falling (FoF) after stroke is not well understood. We assessed change in FoF over the first 6 mo after a stroke and compared 6-mo anxiety, depression, balance, and quality of life (QoL) scores between people with and without baseline FoF (at the time of hospital discharge). METHOD. Data for this longitudinal study were collected at baseline and 6 mo. Of the 28 people included at baseline, 18 remained in the study 6 mo later. RESULTS. FoF significantly decreased over time (p = .015). Participants with baseline FoF had higher 6-mo anxiety and depression scores (s = .002 and .005, respectively) and lower QoL scores (p < .001) than did those without baseline FoF. CONCLUSION. The results are suggestive of the need for occupational therapists and their colleagues to consider anxiety and depression variables in managing the needs of poststroke participants experiencing FoF. Permalink : ./index.php?lvl=notice_display&id=14106

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Feasibility and results of a pilot study of group occupational therapy for fall risk management after stroke / Arlene A. Schmid in The British Journal of Occupational Therapy, Volume 78 Numéro 10 (Octobre 2015)  

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 Numéro 10 (Octobre 2015) . - p.653-660 Titre : Feasibility and results of a pilot study of group occupational therapy for fall risk management after stroke Type de document : texte imprimé Auteurs : Arlene A. Schmid, Auteur ; Kristine K. Miller, Auteur ; Marieke Van Puymbroeck, Auteur Année de publication : 2015 Article en page(s) : p.653-660 Langues : Anglais (eng) Mots-clés : Stroke  occupational therapy  group  self-management  falls  fear of falling Résumé : Introduction: This article examines the feasibility and outcomes of a pilot study of Group Occupational Therapy for Falls, a fall risk management program designed for individuals with chronic stroke. Method: This was a single-arm pilot study. All 10 participants had chronic stroke (>6 months), self-reported falling or fear of falling, and used a mobility device. Group Occupational Therapy for Falls included six sessions and focused on individual fall risk factor management. Assessments were completed before and after the intervention and assessed management of fall risk factors (five assessments, including the Falls Control Scale and Falls Prevention Strategy Survey), fear of falling (yes/no) question, falls self-efficacy, and activity and participation with the IMPACT (ICF Measure of Participation and ACTivity). Alpha was set at .10 owing to the small sample size and feasibility/pilot-study design. Results: Group Occupational Therapy for Falls was feasible and management of fall risk factors improved overall, with significant improvements noted in the Falls Control Scale (p = .046) and Falls Prevention Strategy Survey (.064). The number of people with FoF significantly decreased (p = .076). Conclusion: Group Occupational Therapy for Falls for fall prevention after stroke should be further developed and assessed in people with stroke as a promising intervention that may manage fall risks and possibly fall rates in the future. En ligne : http://bjo.sagepub.com/content/78/10/653.abstract Permalink : ./index.php?lvl=notice_display&id=40847 [article] Feasibility and results of a pilot study of group occupational therapy for fall risk management after stroke [texte imprimé] / Arlene A. Schmid, Auteur ; Kristine K. Miller, Auteur ; Marieke Van Puymbroeck, Auteur . - 2015 . - p.653-660. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 Numéro 10 (Octobre 2015) . - p.653-660 Mots-clés : Stroke  occupational therapy  group  self-management  falls  fear of falling Résumé : Introduction: This article examines the feasibility and outcomes of a pilot study of Group Occupational Therapy for Falls, a fall risk management program designed for individuals with chronic stroke. Method: This was a single-arm pilot study. All 10 participants had chronic stroke (>6 months), self-reported falling or fear of falling, and used a mobility device. Group Occupational Therapy for Falls included six sessions and focused on individual fall risk factor management. Assessments were completed before and after the intervention and assessed management of fall risk factors (five assessments, including the Falls Control Scale and Falls Prevention Strategy Survey), fear of falling (yes/no) question, falls self-efficacy, and activity and participation with the IMPACT (ICF Measure of Participation and ACTivity). Alpha was set at .10 owing to the small sample size and feasibility/pilot-study design. Results: Group Occupational Therapy for Falls was feasible and management of fall risk factors improved overall, with significant improvements noted in the Falls Control Scale (p = .046) and Falls Prevention Strategy Survey (.064). The number of people with FoF significantly decreased (p = .076). Conclusion: Group Occupational Therapy for Falls for fall prevention after stroke should be further developed and assessed in people with stroke as a promising intervention that may manage fall risks and possibly fall rates in the future. En ligne : http://bjo.sagepub.com/content/78/10/653.abstract Permalink : ./index.php?lvl=notice_display&id=40847

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Participant-perceived outcomes of merging yoga and occupational therapy: Self-management intervention for people post stroke / Karen E. Atler in The British Journal of Occupational Therapy, Vol.80 Issue 5 (May 2017)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.80 Issue 5 (May 2017) . - p. 294-301 Titre : Participant-perceived outcomes of merging yoga and occupational therapy: Self-management intervention for people post stroke Type de document : texte imprimé Auteurs : Karen E. Atler ; Marieke Van Puymbroeck Année de publication : 2017 Article en page(s) : p. 294-301 Langues : Anglais (eng) Mots-clés : accident vasculaire cérébral  yoga  ergothérapie  groupe Résumé : Introduction There is a need for development and validation of post-stroke fall-prevention programs. This qualitative study provides an inside look into participant-perceived outcomes of a new and innovative self-management intervention: Merging Yoga and Occupational Therapy. Method A qualitative approach was employed. Thirteen participants, who were more than 6 months post stroke and self-reported falling or a fear of falling, engaged in focus groups and individual interviews following participation in the intervention twice weekly for 8 weeks. Data from focus groups and individual interviews were analyzed using an iterative, inductive approach. Findings Five outcomes emerged from the line-by-line analysis: (1) improved abilities and capacities, (2) gained new knowledge, (3) enhanced engagement in activities, (4) improved relaxation, and (5) increased confidence and inspiration. Conclusion Participants experienced positive outcomes from engagement in a community-based multimodal fall-prevention self-management program for people post stroke. Permalink : ./index.php?lvl=notice_display&id=50113 [article] Participant-perceived outcomes of merging yoga and occupational therapy: Self-management intervention for people post stroke [texte imprimé] / Karen E. Atler ; Marieke Van Puymbroeck . - 2017 . - p. 294-301. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.80 Issue 5 (May 2017) . - p. 294-301 Mots-clés : accident vasculaire cérébral  yoga  ergothérapie  groupe Résumé : Introduction There is a need for development and validation of post-stroke fall-prevention programs. This qualitative study provides an inside look into participant-perceived outcomes of a new and innovative self-management intervention: Merging Yoga and Occupational Therapy. Method A qualitative approach was employed. Thirteen participants, who were more than 6 months post stroke and self-reported falling or a fear of falling, engaged in focus groups and individual interviews following participation in the intervention twice weekly for 8 weeks. Data from focus groups and individual interviews were analyzed using an iterative, inductive approach. Findings Five outcomes emerged from the line-by-line analysis: (1) improved abilities and capacities, (2) gained new knowledge, (3) enhanced engagement in activities, (4) improved relaxation, and (5) increased confidence and inspiration. Conclusion Participants experienced positive outcomes from engagement in a community-based multimodal fall-prevention self-management program for people post stroke. Permalink : ./index.php?lvl=notice_display&id=50113

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